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Updated: Mar 24, 2026

Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
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Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment

Published on: September 25, 2009

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Infantile intracranial aneurysm of the superior cerebellar artery

Molly Ann Del Santo1, Steve Mario Cordina1

  • 1Department of Neurology, University of South Alabama, Mobile, Alabama, USA.

BMJ Case Reports
|March 2, 2016
PubMed

Insights

Pediatric intracranial aneurysms are rare. Prompt diagnosis and endovascular embolization of a superior cerebellar artery aneurysm in a 3-month-old infant led to a positive outcome.

Area of Science:

  • Pediatric Neurosurgery
  • Neuroradiology
  • Vascular Neurology

Background:

  • Intracranial aneurysms are uncommon in infants, posing diagnostic and therapeutic challenges.
  • Early presentation in infants can be subtle, requiring high clinical suspicion.

Observation:

  • A 3-month-old infant presented with inconsolable crying, vomiting, and sunset eye sign.
  • Computed tomography (CT) identified subarachnoid hemorrhage, and CT angiography revealed a superior cerebellar artery aneurysm.

Findings:

  • Acute hydrocephalus was managed with an external ventricular drain.
  • Endovascular embolization using six microcoils successfully occluded the pediatric aneurysm.
  • Post-procedure transcranial Doppler monitoring showed no evidence of vasospasm.

Implications:

  • This case highlights the importance of considering rare vascular pathologies in symptomatic infants.
  • Early diagnosis and timely endovascular intervention are crucial for favorable outcomes in pediatric intracranial aneurysms.
  • Successful embolization demonstrates the feasibility of minimally invasive techniques for complex pediatric neurovascular cases.

Keywords:
AneurysmCoilHemorrhagePediatricsSubarachnoid

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